Froedtert Holy Family Memorial Hospital — price list
← Hospital overviewVerified from Froedtert Holy Family Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CHEMO ADMIN, IV INFUS, EA ADL SEQUENTL (DIFF SUBST/DRG), UP TO 1HR (ADD) Inpatient | 96417 CPT | $277 | $152 | $166 – $244 | — | |
| HC CHEMO ADMIN, IV, PUSH, EACH ADDITIONAL SUBSTANCE/DRUG (ADD ON) Inpatient | 96411 CPT | $242 | $133 | $145 – $213 | — | |
| HC CHEMO ADMIN, IV, PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG Inpatient | 96409 CPT | $796 | $438 | $478 – $700 | — | |
| HC CHEMO ADMIN, SUBCUTANEOUS/INTRAMUSCULAR, HORMONAL ANTI-NEOPLASTIC Inpatient | 96402 CPT | $243 | $134 | $146 – $214 | — |